pulmonary embolism Flashcards
1
Q
risk factors
A
immobility recent surgery long haul flights pregnancy oestrogen therapy malignancy polycythemia SLE thrombophilia
2
Q
VTE prophylaxis
A
LMWH
compression stockings
3
Q
presentation
A
SOB cough haemoptysis pleuritic chest pain hypoxia tachycardia raised resp rate low grade fever
4
Q
Wells score: likely
A
CTPA
5
Q
Well’s score: unlikely
A
d-dimer then if positive CTPA
6
Q
ABG
A
respiratory alkalosis due to raised RR blowing off CO2
7
Q
Mx - supportive
A
oxygen
analgesia
8
Q
initial management
A
apixaban or rivaroxaban
9
Q
Mx - long term anticoagulation
A
DOAC - apixiban, rivaroxaban
10
Q
Mx - long term anticoagulation when to give LMWH
A
pregnancy or cancer
11
Q
Mx - long term anticoagulation: when to continue for 3mo
A
reversible cause
12
Q
Mx - long term anticoagulation: when to continue for beyone 3mo
A
cause unclear
recurrent VTE
irreversible cause
13
Q
Mx - long term anticoagulation: when to continue for 6mo
A
active cancer
14
Q
Mx - thromblysis
A
if passive PE with haemodynamic compromise
